Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Chronic Back Pain And Loss Of Appetite
Question: For quite sometime I have been feeling tired all the time.. ..I have trouble gaining weight.. hands and feet are cold most of the time.. loss of appetite somedays..joints are always stiff and sore..chronic back pain form an injury many ears ago... some symptoms of depression.. low sex drive which is unusual.. some nights I do have problems sleeping..
Brief Answer:
Arthritis and impaired thyroid function suspected:
Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern.
The symptoms you described are suggestive for arthritis and impaired thyroid function.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
-CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
-ESR and proteine C reactive
-Electrolytes (Sodium and Potassium in particular)
-HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average)
-Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
-Kidney function tests (BUN, Creatinine)
-TSH (checks your thyroid)
-Free T4 (this too checks your thyroid)
-25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
-Calcium
None of these tests require any fasting and can be done at any time of the day.
I would be happy to review your performed tests for another professional opinion.
I'm always at your disposal for any other questions whenever you need!
Wishing all the best,
Dr.Mirjeta
Arthritis and impaired thyroid function suspected:
Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern.
The symptoms you described are suggestive for arthritis and impaired thyroid function.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
-CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
-ESR and proteine C reactive
-Electrolytes (Sodium and Potassium in particular)
-HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average)
-Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
-Kidney function tests (BUN, Creatinine)
-TSH (checks your thyroid)
-Free T4 (this too checks your thyroid)
-25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
-Calcium
None of these tests require any fasting and can be done at any time of the day.
I would be happy to review your performed tests for another professional opinion.
I'm always at your disposal for any other questions whenever you need!
Wishing all the best,
Dr.Mirjeta
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
